Sensory relearning for a multiple sclerosis patient with Useless hand syndrome

Abstract

A multiple sclerosis patient with superficial and deep sensory loss in the right upper extremity received active sensory relearning with subdivided hand functions and interventions to encourage use of hand in real-world activities. Useless hand syndrome comprises clumsiness of complex finger movement and loss of manual dexterity. Two-point discrimination and stereognosis deficits decreased use of the right upper extremity. The right upper limb function improved and regained practical level 3 weeks after immunoadsorption therapy. This case report indicates that dealing with sensory disorders and providing therapy for Useless hand syndrome might improve upper limb function.